Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,698.24 / $5,011.87	Facility		$93.33	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $95.50 / $346.74	Professional		$36.31	$95.50	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $107.15	Professional		$67.61	$87.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $151.36	Professional		$38.02	$89.13	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $87.10 / $131.83	Professional		$34.67	$87.10	$131.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $147.91	Professional		$32.36	$91.20	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $114.82 / $141.25	Professional		$44.67	$114.82	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $95.50 / $141.25	Professional		$29.51	$95.50	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $89.13 / $151.36	Professional		$38.90	$89.13	$151.36